Berkshire Hathaway Homestate Companies - Workers Compensation Division · 7 hours ago
Claims Unit Supervisor
Berkshire Hathaway Homestate Companies is a national insurance group with over 50 years in business, offering insurance products across the United States. They are seeking a Claims Unit Supervisor to oversee a team of Claims Professionals, ensuring effective management of workers compensation claims while providing excellent service and professional development opportunities for the team.
Financial ServicesInsurance
Responsibilities
Ensures unit achieves organizational goals via prompt claim closures, high client service satisfaction, timely medical management decisions, and strategic cost containment
Ensures claim reserves and settlements are appropriate and timely
Monitors and directs the management of individual claims within the unit
Ensures claims are managed in compliance with applicable statutes, regulations, case law and Company standards
Manages the workflow of the unit, including planning, assigning and directing work
Fosters and guides the professional development of individual Claims Professionals of varying levels of experience to help them build successful and satisfying careers while producing excellent results in their work and exhibiting exemplary workplace behavior
Identifies and communicates training needs
Assists with facilitating training topics and continually reinforces adherence to the concepts and techniques adopted
Aids in the development of vendor panels via continual feedback to management as to effectiveness of defense counsel, medical providers (physicians, medical facilities, nurse case managers), and vendors (durable medical equipment vendors, translators, copy services, and vocational rehabilitation service providers)
Ensures continuing education requirements are met
Performs special assignments and projects as assigned
Qualification
Required
Minimum of high school diploma or equivalent educational certification required
Licensed to adjust workers' compensation claims in one or more assigned jurisdictions required
Minimum of three (3) years of relevant experience and training, or an equivalent combination of education and experience required
Proficient on the Microsoft Office Suite and able to quickly master proprietary and vendor software applications
Able to solve practical problems and deal with a variety of variables in situations where only limited standardization exists
Able to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
Able to calculate figures and amounts such as discounts, interest, proportions, rate, ratio and percent
Familiar with the concept of statistical likelihood as the basis for calculating the value of a possible financial outcome
Able to read and interpret complex documents including statutes, regulations, legal opinions, legal letters, medical records, medical bills, medical resource materials, investigation reports, claim notes, and claim data fields
Able to write clear, concise reports accurately conveying complex, nuanced and technical information
Possesses strong telephonic communication skills including investigation, persuasion, and negotiation
Able to effectively present information to management and public groups
Preferred
Bachelor's degree from an accredited college or university preferred
CA Self-Insurance Administrator's (SIP) Certification preferred
Prior supervisory experience in workers compensation claims management preferred
Company
Berkshire Hathaway Homestate Companies - Workers Compensation Division
Financial Strength and Integrity With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast.
H1B Sponsorship
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Funding
Current Stage
Late StageLeadership Team
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